NPN 125 Final Exam With Complete
Solution
Pseudoparkinsonism - ANSWER tremor, shuffling gait, drooling, rigidity; symptoms
resemble those of parkinson's disease.
What is neuroleptic malignant syndrome? - ANSWER Life-threatening emergency that
can happen from a reaction to an antipsychotic drug; high fever, tachycardia, stupor,
increased respiration, muscle rigidity
What is tardive dyskinesa? Is it reversible? - ANSWER lip smacking and tongue
protrusion. It is permanent, caused by long term use of antipsychotics.
What is serotonin syndrome? - ANSWER serotonin syndrome is what happens with a
SSRI medication. Some s/e are restlessness, tachy, AMS, LABILE BP
What is the most common mood stabilizer drug? And what are the side effects? -
ANSWER Lithium; if lithium toxicity pt will experience muscle weakness, tremors,
blurred vision, slurred speech, n/v, seizures
What is the therapeutic lithium levels? - ANSWER 0.5-1.2 mEq/L
What are some examples of anxiolytic drugs? - ANSWER Xanax, buspar, librium, ativan,
vistaril,
Side effects of anxiolytics - ANSWER Addiction, drowsiness, lethargy, sz if d/c abruptly,
syncope
What are some examples of SSRI medications? - ANSWER Lexapro, effexor, zoloft,
celexa
What is important teaching to give to a pt who is taking an SSRI? - ANSWER Serotonin
Syndrome and to not eat grapefruit!
What are some examples of tricyclic? - ANSWER Elavil, tofranil, asendin, surmontil
Tetracycline examples - ANSWER Wellbutrin, Remeron, Ludiomil, and trazodone
What are some examples of MAOI? - ANSWER Nardil, Marplan, Parnate, Emsam
MAOI - important information - ANSWER Foods high in tyramine should be avoided.
What serious side effects happen when taking antipsychotics? - ANSWER EPS such as
drug-induced Parkinsonism, akathisia dystonia, TD, neuroleptic malignant syndrome
What are some typical antipsychotics? - ANSWER thorazine, haldol, prolixin, moban
, What are some atypical antipsychotics? - ANSWER Clozaril, Risperdal, Zyprexa,
Seroquel, Geodon
What are the 3 beliefs of sigmund freud? - ANSWER ID, EGO, SUPEREGO
A patient has been prescribed an anticholinergic drug for irritable bowel syndrome
(IBS). Which adverse effect must the nurse teach the patient to be aware of when
beginning this drug?
Rhinitis (runny nose)
Drowsiness
Orthostatic hypotension
Diarrhea - ANSWER orthostatic hypotension
The nurse is teaching a patient with Parkinson's disease about levodopa. Which
statement by the nurse is accurate regarding drug administration?
"Take this medication when your tremors get worse."
"Take this medication at bedtime to prevent dizziness."
"Take this medication in between meals."
"Take this medication with food or antacids to reduce GI upset." - ANSWER "Take this
medication with food or antacids to reduce GI upset"
When a patient taking a monoamine oxidase B inhibitor receives his dietary tray, the
nurse knows to remove the - ANSWER Cheese
The nurse is assessing an older patient with Parkinson's disease who was started on
entacapone 1 week ago. The patient has a history of coronary artery disease and takes
an antihypertensive and aspirin. Which information would support the need for a
reduction in medication dosage by the health care provider?Drowsiness
Dizziness
Constipation
Brownish orange urine - ANSWER dizziness
Common adverse effects that can be experienced with a MAO Inhibitor include (s)? -
ANSWER Diarrhea
Upset stomach
Polyuria
Constipation
Solution
Pseudoparkinsonism - ANSWER tremor, shuffling gait, drooling, rigidity; symptoms
resemble those of parkinson's disease.
What is neuroleptic malignant syndrome? - ANSWER Life-threatening emergency that
can happen from a reaction to an antipsychotic drug; high fever, tachycardia, stupor,
increased respiration, muscle rigidity
What is tardive dyskinesa? Is it reversible? - ANSWER lip smacking and tongue
protrusion. It is permanent, caused by long term use of antipsychotics.
What is serotonin syndrome? - ANSWER serotonin syndrome is what happens with a
SSRI medication. Some s/e are restlessness, tachy, AMS, LABILE BP
What is the most common mood stabilizer drug? And what are the side effects? -
ANSWER Lithium; if lithium toxicity pt will experience muscle weakness, tremors,
blurred vision, slurred speech, n/v, seizures
What is the therapeutic lithium levels? - ANSWER 0.5-1.2 mEq/L
What are some examples of anxiolytic drugs? - ANSWER Xanax, buspar, librium, ativan,
vistaril,
Side effects of anxiolytics - ANSWER Addiction, drowsiness, lethargy, sz if d/c abruptly,
syncope
What are some examples of SSRI medications? - ANSWER Lexapro, effexor, zoloft,
celexa
What is important teaching to give to a pt who is taking an SSRI? - ANSWER Serotonin
Syndrome and to not eat grapefruit!
What are some examples of tricyclic? - ANSWER Elavil, tofranil, asendin, surmontil
Tetracycline examples - ANSWER Wellbutrin, Remeron, Ludiomil, and trazodone
What are some examples of MAOI? - ANSWER Nardil, Marplan, Parnate, Emsam
MAOI - important information - ANSWER Foods high in tyramine should be avoided.
What serious side effects happen when taking antipsychotics? - ANSWER EPS such as
drug-induced Parkinsonism, akathisia dystonia, TD, neuroleptic malignant syndrome
What are some typical antipsychotics? - ANSWER thorazine, haldol, prolixin, moban
, What are some atypical antipsychotics? - ANSWER Clozaril, Risperdal, Zyprexa,
Seroquel, Geodon
What are the 3 beliefs of sigmund freud? - ANSWER ID, EGO, SUPEREGO
A patient has been prescribed an anticholinergic drug for irritable bowel syndrome
(IBS). Which adverse effect must the nurse teach the patient to be aware of when
beginning this drug?
Rhinitis (runny nose)
Drowsiness
Orthostatic hypotension
Diarrhea - ANSWER orthostatic hypotension
The nurse is teaching a patient with Parkinson's disease about levodopa. Which
statement by the nurse is accurate regarding drug administration?
"Take this medication when your tremors get worse."
"Take this medication at bedtime to prevent dizziness."
"Take this medication in between meals."
"Take this medication with food or antacids to reduce GI upset." - ANSWER "Take this
medication with food or antacids to reduce GI upset"
When a patient taking a monoamine oxidase B inhibitor receives his dietary tray, the
nurse knows to remove the - ANSWER Cheese
The nurse is assessing an older patient with Parkinson's disease who was started on
entacapone 1 week ago. The patient has a history of coronary artery disease and takes
an antihypertensive and aspirin. Which information would support the need for a
reduction in medication dosage by the health care provider?Drowsiness
Dizziness
Constipation
Brownish orange urine - ANSWER dizziness
Common adverse effects that can be experienced with a MAO Inhibitor include (s)? -
ANSWER Diarrhea
Upset stomach
Polyuria
Constipation
